Kassondra Mellen, PHYSICIAN ASSISTANT

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

3773 Issued in AZ

Practice address

1432 S Dobson Rd Ste 301
Mesa, AZ 85202-4773

Phone

(480) 464-9400

NPI assigned

Feb 5, 2008

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Atlas Medical Aco LLCGroup PAC ID 1456885227, 50 clinicians

Century Care IncGroup PAC ID 3971665605, 51 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Aegis Homecare, Inc Home health agency, Mesa, AZ, CCN 037422
• Sweetheart Healthcare LLC Home health agency, Chandler, AZ, CCN 037813
• Banner Home Care-Arizona Home health agency, Mesa, AZ, CCN 037015
• Aegis Hospice, Inc. Hospice, Mesa, AZ, CCN 031613

Merit-based Incentive Payment System (MIPS)

Final score

77.24 of 100Reported as group

Quality

66.21

Improvement activities

40

Cost

66.73

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kassondra.mellen@57560418353156.direct.elationemr.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Atlas Medical Aco LLC

  • Clinic/Center
  • Mesa, AZ
  • NPI 1396573705
  Medicare reassignment Care Compare group NPD
• Century Care Inc

  • Internal Medicine Physician
  • Mesa, AZ
  • NPI 1346499324
  Medicare reassignment Care Compare group
• Cep America- Arizona, PC

  • Emergency Medicine Physician
  • Chandler, AZ
  • NPI 1780202804
  Medicare reassignment
• North Valley Emergency Specialists

  • Emergency Medicine Physician
  • Glendale, AZ
  • NPI 1285655209
  Medicare reassignment
• Progressive Medical Associates PLLC

  • Emergency Medicine Physician
  • Mesa, AZ
  • NPI 1548218613
  Medicare reassignment
• Cep America-Arizona, PC

  • Emergency Medicine Physician
  • Sun City, AZ
  • NPI 1124491477
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Aegis Homecare, Inc

  • Home Health Agency
  • Mesa, AZ
  • NPI 1902179302
  Care Compare affiliation
• Aegis Hospice, Inc

  • Community Based Hospice Care Agency
  • Mesa, AZ
  • NPI 1356614754
  Care Compare affiliation
• Banner Home Care-Arizona

  • Home Health Agency
  • Sun City, AZ
  • NPI 1023051927
  Care Compare affiliation
• Sweetheart Healthcare, LLC

  • Home Health Agency
  • Chandler, AZ
  • NPI 1699440073
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1202169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690761600000",
    "number": "1245418839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1432 S DOBSON RD STE 301",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852024773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1432 S DOBSON RD STE 301",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852024773",
            "telephone_number": "480-464-9400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELLEN",
        "first_name": "KASSONDRA",
        "credential": "PHYSICIAN ASSISTANT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-05",
        "last_updated": "2023-07-31",
        "certification_date": "2023-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "AZ",
            "license": "3773",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "3773",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sandra Violetta Mele, D.O.
• Alexis Melendrez, OTD
• Isabella Anne Melisko, MSN, AGACNP-BC
• Mella Music Therapy LLC
• Alice Melland, RBT
• David Scott Mellish, P.T.
• Amanda Mellor
• Jacqueline Mellyn, RPH
• Melstrom Family Functional Wellness
• Ryne Melstrom, RDH

• Physician Assistant in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Physician Assistant in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.